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Care Manager, RN, Buprenorphine Treatment Program

One Brooklyn Health•New York, NY

About The Position

The Nurse Care Manager works with primary care providers to deliver team-based care and manage care coordination for patients receiving treatment for opioid use disorders through Bishop Walker’s Buprenorphine Treatment Program. Reporting to the Director, Care Coordination, the Nurse Care Manager screens and assesses potential patients and supports medication induction, stabilization, and ongoing maintenance under the supervision of the primary care provider. The role involves close clinical follow-up, patient education and engagement, coordination with prescribers and other care providers, and support for treatment adherence, self-management, and relapse prevention. The Nurse Care Manager also participates in required NYC DOHMH training and learning communities, program evaluation, and quality and performance improvement activities. The position may involve standing, walking, sitting, lifting, talking, and some repetitive motions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

  • High school diploma or equivalent required.
  • At least two years of clinical experience with care or case management, populations experiencing high poverty, chronic illness, and/or behavioral health issues.
  • Licensed and currently registered as a Professional Nurse in New York State.
  • Knowledge of community resources for older adults.
  • Ability to communicate effectively in English, verbally and in writing.
  • Basic computer knowledge and word processing skills.
  • Effective written and verbal communication skills.
  • Demonstrated ability to establish rapport quickly with a wide range of people.
  • Ability to work collaboratively with other patient care team members to achieve patient goals and meet patient needs.
  • Organized and detail oriented.
  • Effective critical thinking skills.
  • Ability to use verbal and nonverbal calming techniques to prevent crisis situations.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Experience in psychiatric and outpatient care settings.

Responsibilities

  • Support buprenorphine treatment, including patient engagement, assessment, intake, induction, stabilization, maintenance, relapse prevention, and care.
  • Manage patients under the guidance of the waivered prescriber through close clinical follow-up and ongoing communication by telephone, EMR, and team meetings.
  • Coordinate ongoing follow-up care, telephone monitoring, relapse prevention, and support for patient self-management.
  • Ensure the initiative follows state and federal guidelines and collaborate with prescribers, social workers and counselors, psychiatrists, pharmacy, and specialty care providers as needed.
  • Coordinate medication history, prescription processing and refills, prior authorizations, insurance matters, diversion concerns, safety issues, and behavioral health referrals.
  • Champion buprenorphine prescribing with the care team and the rest of the hospital.
  • Attend an initial eight-hour NYC DOHMH Nurse Care Management training.
  • Attend four quarterly NYC DOHMH booster trainings per year on topics relevant to the buprenorphine expansion initiative.
  • Attend four quarterly NYC DOHMH Buprenorphine in Primary Care learning communities per year.
  • Collaborate with NYC DOHMH, including participating in its evaluation.
  • Conduct initial visits, including obtaining detailed opioid use histories and educating patients about opioid use disorder and treatment goals and expectations.
  • Consult with patients and primary care providers about treatment options and preferences, and coordinate initiation of treatment plans.
  • Monitor patients in person or by phone for changes in symptom severity and medication side effects; educate patients about medications and side effects as needed and encourage adherence.
  • Use behavioral activation techniques with patients as an adjunct to other treatments.
  • Document encounters according to organizational policies and procedures, monitor intervention outcomes, and track achievement of outcome measurements.
  • Facilitate treatment referrals as needed.
  • Complete relapse prevention plans with patients in remission.
  • Work with the Director, Care Coordinator, and the practice’s performance improvement team.
  • Participate in Quality and Performance Improvement activities.
  • Perform other duties as assigned.

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